Jacqueline C Wong, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A84867 Issued in CA

Practice address

1336 W Valley Blvd
Suite a
Alhambra, CA 91803-2480

Phone

(626) 281-2232

Fax

(626) 281-7214

NPI assigned

Jun 9, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alhambra Family Medical CenterGroup PAC ID 2264496579, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sunrise Home Health Care Provider, Inc Home health agency, Hacienda Heights, CA, CCN 059458

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jacqueline.wong@856632695652356.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alhambra Family Medical Center

  • Family Medicine Physician
  • Alhambra, CA
  • NPI 1851324206

  Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Accord Renal Medical Corp

  • Nephrology Physician
  • Alhambra, CA
  • NPI 1215960661

  Internal Medicine

  NPD (past)
• Ahmc Garfield Medical Center LP

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1730171265
  NPD (past)
• Ahmc San Gabriel Valley Medical

  • Skilled Nursing Facility
  • San Gabriel, CA
  • NPI 1710174818
  NPD (past)
• Alhambra Hospital Medical Center, LP

  • General Acute Care Hospital
  • Alhambra, CA
  • NPI 1811099674
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sunrise Home Health Care Provider, Inc.

  • Home Health Agency
  • Monterey Park, CA
  • NPI 1295041036
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1114968393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 W VALLEY BLVD",
            "address_2": "SUITE A",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918032480",
            "telephone_number": "626-281-2232",
            "fax_number": "626-281-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 W VALLEY BLVD",
            "address_2": "SUITE A",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918032480",
            "telephone_number": "626-281-2232",
            "fax_number": "626-281-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JACQUELINE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A84867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Wong, D.C., L.AC
• Fiona Wong
• Gordon K Wong, M.D., PH.D., M.P.H.
• Ivy Wong
• Jacky Yan Chun Wong, DC
• James T Wong, MS, PA-C
• Julie Wong
• Lillian Wong, NP
• Man Man Wong, L.AC.
• Paul Wing-Yiu Wong, D.C.

• Internal Medicine Physician in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.